Individual
LINDA LEE ROTH-DOLENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
10524 GEORGE AVE, SUITE 2, AUBURNDALE, WI 54412-0211
(715) 652-3470
(715) 652-3473
Mailing address
PO BOX 211, 10524 GEORGE AVE, SUITE 2, AUBURNDALE, WI 54412-0211
(715) 652-3470
(715) 652-3473
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2965-024
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
40286600
—
WI
Enumeration date
11/16/2006
Last updated
07/08/2007
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